caa a22 4500 60622209X CHVBK 20210128101132.0 cr unu---uuuuu 210128e20150301xx s 000 0 eng 10.1007/s00038-015-0651-5 doi (NATIONALLICENCE)springer-10.1007/s00038-015-0651-5 Mental health in adolescence as determinant of alcohol consumption trajectories in the Northern Swedish Cohort [Elektronische Daten] [Pekka Virtanen, Tapio Nummi, Tomi Lintonen, Hugo Westerlund, Bruno Hägglöf, Anne Hammarström] Objectives: The study aimed to analyze whether poor mental health in adolescence predicts heavy alcohol consumption over the long term. Methods: Alcohol consumption in the population cohort (n=1010) was surveyed at the ages of 16, 18, 21, 30 and 42. Utilizing latent class growth analysis, six consumption trajectories ranging from ‘Late Onset Low' to ‘Early Onset High' were defined and analyzed with respect to internalization (depressiveness and anxiousness) and externalization (truancy and vandalism) at age 16. Results: Poor mental health predicted the Early Onset High trajectory (risk ratios in relation to the compliant trajectory 3.59 for anxiousness, 2.85 for depressiveness, 5.69 for truancy and 7.75 for externalized vandalism). Moreover, significant associations were found for the Early Onset Moderate and Early Onset Low trajectories. Conclusions: This is the first study to show an association between internalized mental health problems in adolescence and lifelong heavy drinking. The study also confirmed a strong association between externalized behavior and heavy drinking, indicating a need of preventive measures in this group. Nevertheless, the analyses demonstrated that most teenagers with mental health problems continue along a reasonable drinking trajectory. Swiss School of Public Health, 2015 Internalized symptoms nationallicence Externalized behavior nationallicence Alcohol consumption nationallicence Trajectory nationallicence Analysis nationallicence Virtanen Pekka Institute for Advanced Social Research and School of Health Sciences, University of Tampere, Tampere, Finland aut Nummi Tapio School of Health Sciences, University of Tampere, 33014, Tampere, Finland aut Lintonen Tomi The Finnish Foundation for Alcohol Studies, Helsinki, Finland aut Westerlund Hugo Stress Research Centre, University of Stockholm, Stockholm, Sweden aut Hägglöf Bruno Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden aut Hammarström Anne Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden aut International Journal of Public Health Springer Basel 60/3(2015-03-01), 335-342 1661-8556 60:3<335 2015 60 38 https://doi.org/10.1007/s00038-015-0651-5 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00038-015-0651-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Virtanen Pekka Institute for Advanced Social Research and School of Health Sciences, University of Tampere, Tampere, Finland aut NATIONALLICENCE 700 1- Nummi Tapio School of Health Sciences, University of Tampere, 33014, Tampere, Finland aut NATIONALLICENCE 700 1- Lintonen Tomi The Finnish Foundation for Alcohol Studies, Helsinki, Finland aut NATIONALLICENCE 700 1- Westerlund Hugo Stress Research Centre, University of Stockholm, Stockholm, Sweden aut NATIONALLICENCE 700 1- Hägglöf Bruno Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden aut NATIONALLICENCE 700 1- Hammarström Anne Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden aut NATIONALLICENCE 773 0- International Journal of Public Health Springer Basel 60/3(2015-03-01), 335-342 1661-8556 60:3<335 2015 60 38